Which statement by an older female client who lost her spouse two years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

"I hate that my health does not allow me to do what I used to do.".

"Sometimes I have trouble remembering simple things.".

"I realize that my life must go on, but sometimes I wonder why.".

"I depend on children who fortunately live close-by.".

Answer and Explanation

The Correct Answer is C

"I realize that my life must go on, but sometimes I wonder why.”

Choice A rationale:

This statement may indicate frustration with physical limitations, which is common in older adults, especially after surgery. It does not necessarily indicate a need for bereavement counseling.

Choice B rationale:

Difficulty remembering simple things can be attributed to normal aging processes or other factors not directly related to bereavement.

Choice C rationale:

Expressing a sense of wondering "why”. after the loss of a spouse suggests ongoing grief and a potential need for bereavement counseling to process feelings and find meaning in life after the loss.

Choice D rationale:

Depending on children who live close-by is a common support mechanism for older adults and does not directly indicate a need for bereavement counseling.

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Correct Answer is B

Explanation

This is the best response for the PN to provide because it sets a clear and firm boundary for the adolescent and discourages inappropriate or sexual comments. The PN should also redirect the adolescent's atention to another topic or activity and document the incident.

A. Massage the calf and foot. B. Extend the leg and ﬂex the foot. C. Check the pedal pulse in the aﬀected leg. D. Elevate the leg above the heart.

Correct Answer is B

Explanation

This is the best intervention for the PN to implement because it relieves the muscle spasm and reduces the pain of a leg cramp. Leg cramps are common during pregnancy and labor due to changes in calcium levels, ﬂuid balance, or pressure on nerves and blood vessels.

A. Massaging the calf and foot is not recommended because it may increase pain or cause injury to the muscle or nerve.

C. Checking the pedal pulse in the aﬀected leg is not necessary unless there is a suspicion of vascular compromise or thrombosis, which are unlikely causes of a leg cramp.

D. Elevating the leg above the heart is not helpful because it may impair blood ﬂow or increase pressure on the nerve or muscle.

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Which statement by an older female client who lost her spouse two years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 15-year-old adolescent male with a mild mental disability is hospitalized for minor surgery and tells the practical nurse (PN), "Wow! You have big breasts." Which response is best for the PN to provide?

Correct Answer is B

Explanation

A client who is at full-term gestation is in active labor and complains of a cramp in her leg. Which intervention should the practical nurse (PN) implement?

Correct Answer is B

Explanation

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